SearchNew York363LA2200X

Maricon Bas, N.P

NPI 1083040075 · on the registry since 2013 · sole proprietor

Practice

Address
480 Forest Ave
Locust Valley, NY 11560
Phone
(516) 759-5406
Organisation at this address
The Medical Station Of North Shore Pc
The Medical Station Of Long Island Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 3500 Sunrise Hwy Ste 124, Great River, NY

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York